An adolescent and his imaginary companions: from quasi-delusional constructs to creative imagination

In this paper I shall describe the psychotherapeutic treatment of a 14-year-old boy, who suffered from mild Asperger's syndrome. This adolescent had a multiplicity of imaginary friends, which protected him from catastrophic feelings of loneliness and deadness, but at the same time interfered with the possibility of establishing meaningful relations with human beings. As the relationship with the therapist gradually gained the vitality and importance originally invested in his parallel fantasy world, the imaginary companions simultaneously faded away. His imagination then became more closely connected to inner reality and to creative processes. The psychoanalytic literature on imaginary companions is reviewed, and it is suggested that the concept of a self-protective device could be usefully applied to understanding the functions that this fantasy performed for the patient.

Dans cet article, l'auteur décrit le traitement psychothérapeutique d'un garçon de 14 ans qui présentait une forme atténuée du syndrome d'Asperger. Cet adolescent avait une foule d'amis imaginaires, ce qui, tout en le protégeant contre le sentiment catastrophique de solitude et de morne tristesse, l'empêchait d'établir des rapports authentiques avec des êtres humains. Au fur et à mesure que sa relation à sa thérapeute était investie de la vitalité et de l'importance initialement accordées à son monde fantasmatique parallèle, ses compagnons imaginaires s'effaçaient. Son imagination était alors davantage en contact avec sa réalité intérieure et avec sa créativité. Passant en revue un certain nombre de textes psychanalytiques sur les compagnons imaginaires, l'auteur suggère que le concept d'un dispositif d'auto-protection pourrait aider à comprendre le rôle que jouait pour son patient cet univers fantasmatique.

In questo articolo l'autrice descrive il trattamento psicoterapeutico di un ragazzo di 14 anni con sindrome di Asperger in forma leggera. Questo ragazzo aveva una molteplicita' di amici immaginari che lo proteggevano da sentimenti catastrofici di solitudine e senso di morte, ma che allo stesso tempo interferivano con la possibilita' che egli stabilisse delle relazioni significative con altri esseri umani. Con l'intensificarsi della relazione con la terapeuta, che gradualmente acquisi' la vitalita' ed importanza originariamente investiti nel suo mondo di fantasia parallelo, simultaneamente i compagni immaginari scomparvero. La sua immaginazione divenne allora piu' strettamente connessa con la realta' interna e con i processi creativi. Nell'articolo viene passata in rassegna la letteratura psicoanalitica sui compagni immaginari, e si avanza l'ipotesi che il concetto di manovra protettiva per il se' potrebbe essere utilmente applicato alla comprensione delle funzioni che tale fantasia fungeva per il paziente.

In diesem Artikel werde ich die psychotherapeutische Behandlung eines 14-jährigen Jungens beschreiben, der an leichtem Asperger Syndrom litt. Dieser Jugendliche hatte eine Vielzahl von imaginären Freunden, die ihn vor katastrophalen Gefühlen der Einsamkeit und Leblosigkeit schützten, aber gleichzeitig die Möglichkeit, bedeutsame Beziehungen mit Menschen herzustellen, beeinträchtigten. Als die Beziehung mit der Therapeutin allmählich die Vitalität und Bedeutung erlangte, die ursprünglich in seiner parallellen Phantasiewelt investiert war, verblassten gleichzeitig die imaginären Begleiter. Seine Phantasiewelt war dann näher mit seiner inneren Realität und kreativen Prozessen verbunden. Es wird die psychoanalytische Literatur über imaginäre Begleiter rezensiert und vorgeschlagen, dass das Konzept einer selbst-schützenden Vorrichtung nützlich zum Verstehen der Funktionen angewendet werden kann, die diese Phantasie für den Patienten erfüllten.     

Dreaming up the patient in supervision: from the concrete to the symbolic*

This paper discusses the importance of parallel processes within the therapeutic and the supervisory context of therapy with an eight-year-old boy diagnosed with Asperger’s syndrome. During the first months of the therapy, through powerful projective identification, the therapist found herself in the ‘clothes’ of the ‘dead mother’. She was unable to think and feel in the sessions. Deadness could not be symbolised – it was enacted in the sessions. The therapeutic encounter had to start elsewhere: the supervisor’s reverie brought to life the patient’s material in the context of the supervision, allowing thinking to occur, first within the supervisory relationship and only then in the therapeutic relationship. In the context of supervision, the encounter of two mentally alive people could contain anxieties, metabolise them and open the way to mental connections. This encounter facilitated the development of creative thinking of both the therapist and the young patient in the consulting room, which allowed the child to become the subject of his existence and to evolve.     

The Attention Demands of Movements

The probe technique has been employed extensively to measure the attention demands of movement control. Inherent in any RT paradigm is the potential confounding effect of anticipation. Experiment 1 studied this problem by varying probe frequency (or, conversely, catch-trial frequency) for three independent groups of subjects performing the same movement. Probe frequencies of one-third and two-thirds produced V-shaped curves of probe RT plotted against probe position within the movement, while a three-thirds condition was described by a negatively sloped linear function. Because of the different shaped curves it was recommended that a two-thirds frequency be adopted by all researchers in this area. Experiments 2 and 3 looked at the effects of movement length and movement time on the attention demands of movement. Shorter (11-cm) movements were more attention demanding in the middle of the movement than the longer (50-cm) movements, but movement time had no effect.     

Sensorimotor Impairment of Speech and Hand Movement Timing Processing in Parkinson’s Disease

Models of motor control have highlighted the role of temporal predictive mechanisms in sensorimotor processing of speech and limb movement timing. We investigated how these mechanisms are affected in Parkinson’s disease (PD) while patients performed speech and hand motor reaction time tasks in response to sensory stimuli with predictable and unpredictable temporal dynamics. Results showed slower motor reaction times in PD vs. control in response to temporally predictable, but not unpredictable stimuli. This effect was driven by faster motor responses to predictable stimuli in control subjects; however, no such effect was observed in the PD group. These findings indicated the relationship between PD pathology and sensorimotor deficits in temporal predictive mechanisms of timing processing during speech production and hand movement.     

Parkinson’s disease disrupts both automatic and controlled processing of action verbs

The problem of how word meaning is processed in the brain has been a topic of intense investigation in cognitive neuroscience. While considerable correlational evidence exists for the involvement of sensory-motor systems in conceptual processing, it is still unclear whether they play a causal role. We investigated this issue by comparing the performance of patients with Parkinson’s disease (PD) with that of age-matched controls when processing action and abstract verbs. To examine the effects of task demands, we used tasks in which semantic demands were either implicit (lexical decision and priming) or explicit (semantic similarity judgment). In both tasks, PD patients’ performance was selectively impaired for action verbs (relative to controls), indicating that the motor system plays a more central role in the processing of action verbs than in the processing of abstract verbs. These results argue for a causal role of sensory-motor systems in semantic processing.     

Formal Defensive Aspects of Cognition and Modes of Thinking Exemplified by Freud's Case History of the Rat Man

Autoerotic gratifications are necessary for children suffering from a disturbed mother relation, and constitute symptoms of the same (jactatis capitis, extreme masturbation, etc.). The origins of the autoerotic functions go as far back as the foetal stage (thumbsucking). In the habits of so-called normal human beings, they also have an important stabilizing function to psychic autonomy. We are accompanied by primary and sublimated autoerotic functions all through our lives, which offer comfort and satisfaction during the different vicissitudes of life. Freud's monistic drive theory seems more plausible to me than his later dualistic theories. In accordance with the former, man can regress from object-libidinal cathexes into autoerotic positions when feeling psychically or physically threatened, and during normal conditions when asleep, sleep constituting a normal narcissistic state.     

The impact of role modeling on protégés' personal learning and work-to-family enrichment

The present study investigates the impact of role modeling as perceived by protégés on their personal learning (i.e., relational job learning and personal skill development) and work-to-family enrichment (WFE). Results from a two-wave field survey of 173 protégés in the People's Republic of China indicate that role modeling positively affects relational job learning and personal skill development. However, personal skill development rather than relational job learning was found to be positively related to WFE and to mediate the relationship between role modeling and WFE. The theoretical and managerial implications of these findings are discussed.     

How focus at encoding affects children’s source monitoring

Retention of source information is enhanced by focus on speakers’ feelings about statements even though recognition is reduced for both adults and children. However, does any focus on another person lead to enhanced source monitoring, or is a particular kind of focus required? Does other-focus enhance source monitoring, or does self-focus detract from it? In Experiment 1, 4- and 6-year-olds watched two speakers make statements in a no-focus control or with focus directed on how they (or a speaker) felt about the statements or on perceptual features about themselves (or the speaker). Source monitoring decisions were enhanced by other-focus in both the perceptual and emotional conditions. However, the effect was larger for the emotional condition, and source monitoring exceeded no-focus controls only for this condition. Experiment 2 showed no effect of other-focus versus self-focus on source monitoring when questions were semantic.     

HOW SHOULD WE BEHAVE? A REVIEW OF REASONS AND PERSONS BY DEREK PARFIT

In this book Parfit attempts to develop a rational, non-religious ethics. Instead of asking, “What does God tell us to do?” he asks, “What does reason tell us to do?” Given a set of simple assumptions, he considers whether it is possible to be consistently selfish or consistently good. Analyses of personal dilemmas (problems of self-control) and moral dilemmas (problems of social cooperation) show that neither consistent selfishness nor consistent goodness is logically possible. Instead, a fine balance must be maintained between, on the one hand, our immediate versus long-term good and, on the other, our own good versus that of other people. Ultimately Parfit fails to develop a formula by which such a balance may be struck. Parfit''s analysis is consistent with behavioral analysis in its reductionistic view of the self and the parallel it draws between relations with other people and relations with oneself at other times. Parfit''s analysis is inconsistent with behaviorism in its view of the mind as internal, available to introspection, and able to cause behavior. His nonfunctional mentalism leads Parfit to inconsistencies and blocks the path to a consistent ethics. Teleological behaviorism''s view of the mind in terms of patterns of overt behavior is not hampered by these inconsistencies and may lead to a functional rather than purely rational ethics.     

Schémas cognitifs, croyances addictives et défenses dans la consommation et l’addiction au cannabis de jeunes adultes

Theoretical background

Integrating the cognitive approaches based on the model of Beck et al. (1993) information treatment, the Young (1994) model of maladapted schemas, the integrative approach of Plutchik (1995) and the clinical approach based on defense mechanisms (Bond, 1995), this study aimed at investigating: (a) the role of the hyperactivated maladapted schemas, (b) the addictive beliefs, (c) the suractivation of the conscious derives of defensive mechanisms and (d) the relationships between these cognitive and defensive variables, in young people's cannabis intensity addiction.

Method

Forty-four young adults, 25 females and 19 males, have completed a self-reported questionnaire estimating: (a) the intensity of cannabis addiction (Décamps et al., 2008), (b) the Rusinek (2006) adaptation of Young's maladapted schemas and (c) the questionnaire of addictive beliefs of Tison and Hautekeete (1998) and the defensive styles questionnaire of Bond et al. (1983) and Bond (1995). Non-parametric statistical analysis has been conducted on three subject's groups (“non-users”, “users non addicted”, “users-addicted”) to test the implications and the links between hypothesized psychological factors (e.g., schemas, beliefs and defences) in cannabis use intensity.

Results and discussion

The intensity of cannabis addiction is correlated significantly with: (a) an hyperactivation of three maladapted schemas: inadequate autocontrol, dependence and fear of lose the control, (b) a hyperactivation of permissive, anticipatory and relief oriented beliefs and (c) a higher activation of the defence “sublimation” and a lower activation of the “displacement”. “sublimation” is correlated with the global activation of 13 schemas that are correlated with the positive relief-oriented beliefs, which are correlated with the “displacement” defence, which is correlated with the anticipatory beliefs. The results showed that the permissive beliefs have the power to differentiate the “non-consumption”, the “consumption without addiction” and “the addiction” to cannabis. Our interpretation displays that greater attention to the dysfunctional beliefs will be required in future researches and should be essential targets in cognitive therapy of this substance use disorder.